Individual provider · Type 1 NPI

Ilan Kaboud, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Visalia, CA

NPI number 1669260303 Active

Practice location

2040 S Mooney Blvd
Visalia, CA 93277-6235

Call (559) 574-5437 Map

Mailing address

1386 Casiano Rd
Los Angeles, CA 90049-1615

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDDS108833 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1669260303

Ilan Kaboud, DDS's National Provider Identifier is 1669260303, issued on Apr 30, 2025. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Visalia, CA. The record was last updated on Apr 30, 2025.